High5 Zero Tablets Review Jobs in Usa

Position Title: Medical Reviewer

Work Location: Remote

Assignment Duration: 12 Months

Job Description:

We are seeking a contract Medical Reviewer to support our international Botox Therapeutic Neurotoxin team. The ideal candidate will be responsible for the medical review of clinical and scientific data related to the use of Botox for various therapeutic indications.

Key responsibilities include ensuring the accuracy and compliance of content with regulatory and company standards, providing expert medical input on clinical documents and safety information, and collaborating with cross-functional teams globally.

Qualifications:

The candidate should have a medical degree (MD or equivalent), clinical experience in neurology, physical medicine, or related fields, and a solid understanding of regulatory requirements for therapeutic neurotoxins. Experience with Botox or neurotoxin therapies is strongly preferred. Excellent communication and detail-orientation are essential.

Must have experience as a Reviewer OUS, understanding regulatory complexities of international markets.

Lead position that requires multi-certification and disciplines necessary to handle project approvals from start to finish through the plan review and inspection processes in accordance with the Division's mission and performance objectives.

Direct and lead Building Inspector/Plans Examiners and seasonal/casual staff. Assist the Division Manager and Building Official with program planning and personnel direction. Oversee the coordination of the building safety plan review and inspection process. Conduct construction code reviews and inspections for residential, commercial, industrial and multi-family development proposals. Depending on the Division's needs, employees in this position may be assigned to focus primarily on plan review or inspection duties. This program is highly visible and often the first contact made with the City from those outside the community. These tasks are illustrative only and may include other related duties.

This recruitment is accepting applications for
Building Inspector/Plans Examiner III
Building Inspector/Plans Examiner IV (Plan Review Lead)

Full-Time 40 hours per week

AFSCME-represented positions

12-month probationary period

Must meet all qualifications and requirements as listed in the position description below.

Building Inspector/Plans Examiner III $38.25 - 48.66 Hourly

Building Inspector/Plans Examiner IV (Plan Review Lead) $41.27 - $52.51 Hourly

Building Inspector/Plans Examiner III
Leads and coordinates members of the development review and inspection teams to ensure a timely, predictable, comprehensive and accurate plan review and inspection process for any development proposal.

Reviews and inspects residential, commercial, industrial, and multi-family development proposals to ensure compliance with State and City codes/ordinances, engineering/architectural, and fire/life safety principles.

Depending on the Division's needs, performs construction plan review and site inspections:

• Conducts Pre-Development, Plan Intake, and Pre-Construction meetings.
• Takes the lead in coordinating plan reviews and inspections internally, with customers, and with other departments and agencies.
• Maintains communication with contractors to anticipate and resolve onsite issues.
• Performs building safety inspections and plan reviews.
• Calculates and assesses fees.
• Monitors permit and project status and follow-up with expired applications and permits.
• Maintains accurate records and files of construction plan reviews, inspections, and related correspondence. Archives documents as required.
• Manages phased development and deferred submittal process for assigned projects.
• Ensures special inspection and structural observation is accomplished where required.
• Recommends or issues Stop Work Orders, violation notifications, and other building code compliance actions when necessary.
• Issues final approval of construction permits.

Building Inspector/Plans Examiner III

Education and Experience
High school diploma, or equivalent required. Associates degree in Building Inspection Technology, Drafting, Engineering, Fire Prevention, or other related field preferred.

Four years of formal education, training, and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations. Ability to proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Possess a self-directed commitment to maintain current knowledge of construction standards, methods, technologies, and codes.

Get along well and maintain effective work relationships with coworkers and the public.

Special Requirements

Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, C, or D:

A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Residential Inspection (Building , Mechanical)
Residential Plan Review
Commercial Plan Review (A-Level, Mechanical) must be obtained within the probationary period.
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical
OR
C: Commercial Plan Review:
Commercial Plan Review (A-level, Mechanical)
Fire and Life Safety
Residential Plan Review and Residential Inspection required within the probationary period
D: Specialty Discipline- Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector; obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector; obtain a Fire Investigation Certificate within the probationary period.

Education and Experience
High school diploma, or equivalent required. Bachelor's degree in Architecture, Engineering, Construction Management, Public Administration or a closely related field preferred. Two years of experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review.

Six years of formal education, training and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations, and proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Travel among City worksites, off-site meetings and presentations.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Experience in use of permit tracking systems. Excellent ability to use computer hardware, printers, and computer programs to conduct inspections, complete plan reviews, communicate and present information, track progress, schedule projects, and to perform the essential functions of the position.

Get along well and maintain effective work relationships with coworkers and the public.

Demonstrable commitment to quality and timely customer service.

Special Requirements
Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

State of Oregon Building Official Certification; or State of Oregon Inspector Certification and International Code Council Certified Building Official Certification, must be obtained within the probationary period.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, or C:
A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Commercial Plan Review (A-Level, Mechanical, Fire and Life Safety)
Residential Inspection (Building , Mechanical)
Residential Plan Review
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical

OR
C: Specialty Discipline - Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector plus obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector plus obtain a Fire Investigation Certificate within the probationary period.

Qualified applicants must submit an online application located on the City of Corvallis website(click on "Apply" above).

Position is open until filled.

First review of applications will occur after 8:00 AM on Friday March 6, 2026.

Resumes will not be accepted in lieu of a completed online application.

Late or incomplete applications will not be accepted/considered.

*Please do not include personal or protected information in attached resumes or cover letters, this includes your birth date, age, dates of education, and graduation dates.*

Position Title: Clinical Review Clinician - Appeals

Work Location: Remote - Nationally sourced (Preference for 2 candidates in AZ)

Assignment Duration: 6 months

Work Schedule: 8:00 AM - 5:00 PM EST or CST

Work Arrangement: Remote

Schedule is 8-5 EST or CST hours. Staff will work when there are members of the supervisor/leadership on.

Cases are assigned in round robin fashion for staff to review and work.

The Organization's clinical team handles various types of authorization and claim review requests from various markets nationwide, processing clinical reviews to ensure members have the best outcomes and access to care needed.

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  Nurses review case files, add, update or edit authorizations.

  
  
  
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  Work closely with the MD team to make final decisions on cases.

  
  
  
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  Process clinical reviews to ensure members have access to care needed.

  
  
  
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  Help reduce provider abrasion by processing retrospective claim reviews.

  
  
  
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  Work closely with supervisors, senior clinicians, and the coordinator team on end-to-end case processes.

  
  
  
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  Participate in team collaboration via Teams group chats for routine questions.

  
  
  

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  Education/Certification (Required): Associate in nursing, Bachelor's in nursing or higher.

  
  
  
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  Licensure (Required): RN, LPN

  
  
  
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  Licensure (Preferred): LVN

  
  
  
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  Must haves:

  
  
  
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    Medicare knowledge

    
    
    
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    InterQual or Milliman Experience

    
    
    
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    Clinical reviews for Utilization Management or Appeals

    
    
    
  
  
  
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  Nice to haves:

  
  
  
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    Medicare Appeals Experience

    
    
    
  
  
  
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  Disqualifiers:

  
  
  
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    Not having a valid/active RN/LPN license

    
    
    
  
  
  
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  Performance indicators:

  
  
  
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    Productivity expectations vary based on platform.

    
    
    
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    Prime: 7 CPD

    
    
    
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    iCP: 9 CPD

    
    
    
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    CenPas: 20 CPD cases per day

    
    
    
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    95% quality on all cases
    
    

    
    
    Candidate Requirements
    
    Education/Certification
    Required: Associate in nursing, Bachelor's in nursing or higher.
    Preferred:
    
    Licensure
    Required: RN, LPN
    Preferred: LVN
    
    
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    • Years of experience required
      
    • Disqualifiers
      
    • Best vs. average
      
    • Performance indicators
      
    
    
    Must haves: Medicare knowledge, InterQual or Milliman Experience, Clinical reviews for Utilization Management or Appeals
    
    Nice to haves: Medicare Appeals Experience
    
    Disqualifiers: Not having a valid/active RN/LPN license
    
    Performance indicators: Productivity expectations vary based on platform. Prime 7 CPD, iCP 9 CPD and CenPas is 20 CPD cases per day with 95% quality on all cases
    
    Best vs. average: Productivity expectations are set based on platform.
    
    
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    • Top 3 must-have hard skills
      
    • Level of experience with each
      
    • Stack-ranked by importance
      
    • Candidate Review & Selection
      
    
    
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    Utilization Management or Appeals review background (1 plus year)
    
    2
    Medicare NCD/LCD and InterQual/Milliman Software (1 plus year)
    
    3
    Retrospective claims clinical reviews (1 plus year)
    
    
  
  
  

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

• Conduct comprehensive reviews of medical records and treatment plans to determine if the requested services are appropriate based on established guidelines and medical criteria across multiple lines of business.
• Utilize your clinical expertise to evaluate medical necessity and collaborate with MVP Medical Directors to determine the effectiveness of proposed treatments/equipment.
• Document clinical summations, recommendations and send appropriate correspondences accurately and within regulatory timeframes.
• Communicate with healthcare providers and members to collect pertinent information, discuss review outcomes and provide appropriate referrals within MVP.
• Remain up to date with industry standards and guidelines, complete required competency training and proficiency examinations to ensure compliance and best practice.
• Participate in team meetings and training sessions to enhance your knowledge and skills.
• Contribute to process improvement initiatives to streamline the prospective review process.
• Other duties as assigned by leadership.

• Education, Licensures, & Certifications
  • Current RN (NY or VT)
• Years of Experience (Required & Preferred)
  • Minimum of 3-5 years clinical experience required
  • Case management certification preferred
• Required Job Skills
  • Able to manage multiple tasks in a fast-paced environment.
  • Strong clinical knowledge, critical thinking skills and understanding of medical terminology, procedures, concepts.
  • Ability to work independently to analyze complex medical information.
  • Effective communication skills, both written and verbal.
  • Ability to work independently and collaboratively in a team environment.
  • Proficiency in using computer systems and software for documentation, data entry and day-to-day work functions.
• Preferred Job Skills
  • Prior Utilization review experience
  • Knowledge of Government Insurance Programs (Medicare, Medicaid)

• Virtual based out of Schenectady NY

This position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.

1. Current licensure as a Registered Nurse (RN) in the state of California is required.

2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.

3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.

4. Certified Case Manager (CCM) national certification is preferred.

5. Interquel training must be obtained within six (6) months of hire into position.

6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.

7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.

8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.

9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.

Pay Range:

$49.47 - 71.74

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Essential Functions:

• Knows, understands, incorporates and demonstrates the Trinity Mission, Vision and Values in behaviors, practices, standards policies procedures and decisions.
• Demonstrates understanding of appropriate clinical documentation to ensure the severity of illness, risk of mortality, quality indicators and level of services provided are accurately reflected in the health record.
• Communicates with and educates physicians and all other member of the healthcare team in clinical documentation and monitors provider engagement.
• Conducts concurrent reviews of selected patient health records to address legibility, clarity, completeness, consistency and precision of clinical documentation.
• Formulates compliant clarifications/queries following Trinity Health's documentation integrity procedures.

Minimum Qualifications:

• Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Advanced degree in nursing (NP, APN) or Physician Assistant. In absence of college degree, must have three (3) years' experience as an inpatient code or documentation specialist.
• Preferred Certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP
• Experienced in critical care, medical or surgical inpatient care nursing as an RN, PA, NP, APN or inpatient coder preferred
• Excellent communication, interpersonal, collaboration and relationship building skills. Strong critical thinking skills, and ability integrate knowledge. Prioritization and organizations skills required.
• Demonstrated ability to use standardized desktop and Windows based computer system. Data entry and typing skills at minimum 30 wph.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.